DR. JOHN THOMAS CARSON SR. (NPI# 1407904147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407904147 |
| Entity Type | Individual |
| Full Name | DR. JOHN THOMAS CARSON SR. |
| Credential | D.D.S. M.S. |
| Practice Address |
10425 Fair Oaks Blvd Suite 102 Fair Oaks CA 95628-7559 |
| Practice Telephone | 9169657444 |
| Practice Fax Number | 9169659372 |
| Mailing Telephone | 9169657444 |
| Mailing Fax Number | 9169659372 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
32042 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578724787 | John Manning Carson | Internal Medicine | 200 Old Country Rd Ste 135, Mineola, NY 11501-4237 | 2008-06-19 |
| 1053478651 | John Davidson Carson | Emergency Medicine | 318 Mall Blvd Ste 300b, Savannah, GA 31406-4758 | 2007-01-02 |
| 1871654012 | John H Carson | Dentist | 18424 W Mcnichols Rd, Detroit, MI 48219-4161 | 2006-12-12 |
| 1053409151 | John Turner Carson | Internal Medicine | 9686 Cincinnati Columbus Rd, Cincinnati, OH 45241 | 2006-10-11 |
| 1609893304 | John Robert Carson | Dentist | 7415 E Tanque Verde Rd, Tucson, AZ 85715-3477 | 2006-07-17 |
| 1164425575 | John Caudell Carson | Family Medicine | 447 Spruce St, Walterboro, SC 29488-2766 | 2005-05-31 |
| 1316292105 | John Henry Carson | Internal Medicine | 1010 N Kansas St, Wichita, KS 67214-3124 | 2012-07-17 |
| 1285943605 | John Glen Carson | Nurse Practitioner | 100 Hunters Ln, Tullahoma, TN 37388-8263 | 2010-10-04 |
| 1811032071 | John Montgomery Carson | Dentist | 2199 Cheat Rd, Morgantown, WV 26508-4451 | 2007-02-21 |
| 1871507228 | John G Carson | Surgery | 35 Medical Center Pkwy, Augusta, ME 04330 | 2006-07-28 |
| Street Address |
10425 FAIR OAKS BLVD SUITE 102 |
| City | FAIR OAKS |
| State | CA |
| Zip Code | 95628-7559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427054618 | Linda Yu | Dentist | 10425 Fair Oaks Blvd, Ste 103, Fair Oaks, CA 95628-7559 | 2005-06-22 |
| 1558713693 | John Carson Dds Ms Inc | Dentist | 10425 Fair Oaks Blvd, Ste 102, Fair Oaks, CA 95628-7559 | 2016-07-12 |
| 1982085650 | James Musser | Dentist | 10425 Fair Oaks Blvd, Suite 101, Fair Oaks, CA 95628-7559 | 2015-06-17 |
| 1841508215 | Kristi Alexander D.d.s., Inc. | Dentist | 10425 Fair Oaks Blvd, Suite 104, Fair Oaks, CA 95628 | 2010-09-20 |
| 1346407194 | Jack Herbert Stansfield | Dentist | 10425 Fair Oaks Blvd, Suite #204, Fair Oaks, CA 95628-7559 | 2008-05-20 |
| 1063600807 | Kristina Kobita Kuprienko | Dentist | 10425 Fair Oaks Blvd, 201, Fair Oaks, CA 95628 | 2007-10-05 |
| 1972628774 | Daftinc and Stamosinc | Dentist | 10425 Fair Oaks Blvd, Suite 203, Fair Oaks, CA 95628-7559 | 2007-03-20 |
| 1972635076 | Ramouna Karvar | Dentist | 10425 Fair Oaks Blvd, Suite #103, Fair Oaks, CA 95628-7559 | 2007-03-12 |
| 1265598213 | James R. Musser, Dds, Inc. | Dentist | 10425 Fair Oaks Blvd, Suite 101, Fair Oaks, CA 95628-7559 | 2006-12-27 |
| 1003920364 | John L Johnson Dds and Todd L Johnson Dds Inc | Dentist | 10425 Fair Oaks Blvd, Suite #202, Fair Oaks, CA 95628 | 2006-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103590 | Nora's Home Care, Inc | Assisted Living Facility | 5813 Kenneth Ave, Fair Oaks, CA 95628 | 2018-08-08 |
| 1124545512 | Shelby Matthews | Behavior Technician | 7712 Magnolia Ave, Fair Oaks, CA 95628 | 2017-08-25 |
| 1386166908 | Harcourt Bridges, LLC | Counselor | 4112 Crestline Ave Ste. B, Fair Oaks, CA 95628 | 2017-07-14 |
| 1063934867 | Harcourt Bridges, LLC | Counselor | 4112 Crestline Ave Ste. A, Fair Oaks, CA 95628 | 2017-07-13 |
| 1467986075 | Shelby Bryeans | Behavior Technician | 7949 California Ave Ste 15, Fair Oaks, CA 95628 | 2017-04-20 |
| 1942698790 | Life Span Home, Inc | Home Health | 4041 Bridge Street, Fair Oaks, CA 95628 | 2015-01-02 |
| 1861808008 | Edward John Olson | Social Worker | 5213 Vista Del Oro Way, Fair Oaks, CA 95628 | 2014-07-09 |
| 1073924643 | Frank Gontarski | Dentist | 4363 Hazel Avenue, Suite 6, Fair Oaks, CA 95628 | 2014-05-16 |
| 1801232921 | Lisa Hitomi | Community Health Worker | 9915 Fair Oaks Blvd, Fair Oaks, CA 95628 | 2013-05-15 |
| 1972842375 | Nicole Diana Cable | Marriage & Family Therapist | 10217 Fair Oaks Blvd, Suite A, Fair Oaks, CA 95628 | 2013-02-05 |
| Find all providers in zip 95628 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558713693 | John Carson Dds Ms Inc | Dentist | 10425 Fair Oaks Blvd, Ste 102, Fair Oaks, CA 95628-7559 | 2016-07-12 |
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| 1225641293 | Richard T. Kao, Dds, Phd - Dental Corp. | Dentist | 1660 Willow St Ste 3, San Jose, CA 95125-5101 | 2020-08-28 |
| 1093325722 | Sergio Florencio Jr, Dds, Dmsc, Inc | Dentist | 1802 San Miguel Dr, Walnut Creek, CA 94596-8606 | 2020-08-06 |
| 1205463445 | Sharona Dayan, Dds, Inc | Dentist | 9735 Wilshire Blvd Ste 211, Beverly Hills, CA 90212-2102 | 2020-03-26 |
| 1215573522 | Vanessa Bikhazi | Dentist | 2372 Se Bristol St Ste A, Newport Beach, CA 92660-0755 | 2019-11-21 |
| 1063057008 | Robert Lacrampe | Dentist | 880 W 1st St Apt 526, Los Angeles, CA 90012-2473 | 2019-11-13 |
| 1376194639 | Snow Nakano & Lopez Professional Dental Corporation | Dentist | 868 Auto Center Dr Ste A, Palmdale, CA 93551-4691 | 2019-09-26 |
| 1659926285 | Suman Ramakumar Dds Inc | Dentist | 1171 Homestead Rd Ste 175, Santa Clara, CA 95050-5484 | 2019-08-09 |
| 1912567058 | Andrew Peterson Dmd Ms PC | Dentist | 9856 Hibiscus Ct, Alta Loma, CA 91737-3637 | 2019-06-20 |
| 1124686233 | Danoukh Dental Corp. | Dentist | 12271 La Mirada Blvd Ste 201, La Mirada, CA 90638-1336 | 2019-06-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.